How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Aetna Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $43.65 | Professional | None | $41.69 | $41.69 | $43.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $44.67 Median $50.12 Typical High $54.95 | Facility | None | $44.67 | $50.12 | $54.95 |
BCBS South Carolina Setting Professional Modifier None Typical Low $36.31 Median $39.81 Typical High $41.69 | Professional | None | $36.31 | $39.81 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $57.54 Typical High $74.13 | Facility | None | $33.88 | $57.54 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $48.98 | Professional | None | $41.69 | $41.69 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $45.71 Typical High $56.23 | Facility | None | $28.18 | $45.71 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $30.90 Median $38.90 Typical High $51.29 | Professional | None | $30.90 | $38.90 | $51.29 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $42.66 | Professional | None | $41.69 | $41.69 | $42.66 |
United Setting Professional Modifier None Typical Low $32.36 Median $40.74 Typical High $42.66 | Professional | None | $32.36 | $40.74 | $42.66 |
5 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | 52 · Reduced service | $20.89 | $20.89 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $8.32 Typical High $8.71 | Professional | 53 · Discontinued | $8.32 | $8.32 | $8.71 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $6.31 Median $6.31 Typical High $6.46 | Professional | 55 · Aftercare only | $6.31 | $6.31 | $6.46 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $4.17 Median $4.17 Typical High $4.37 | Professional | 56 · Pre-op care only | $4.17 | $4.17 | $4.37 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $15.49 Median $20.42 Typical High $24.55 | Professional | 51 · Multiple procedures | $15.49 | $20.42 | $24.55 |
Where South Carolina sits
The same service costs 2.0 times more in Alaska than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 45th of 51
$39.81
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.